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HL7 v2+ Vocabulary Releases 'Action Code' Specification (Experimental)

CodeSystem: Action Code (2.3 - 1.0.0) (Experimental) hl7.eu 0). v2+

FHIR Standard Developers released an experimental CodeSystem for Action Code (2.3 - 1.0.0) for the FHIR v2+ vocabulary.

November 9, 2025FHIR Standard Developers

Summary

HL7 has released the v2+ vocabulary for 'Action Code,' which indicates record operation status in healthcare information exchange. This is particularly used when a method to correct vaccination information transmitted with incorrect patient identifying information is needed, such as in vaccine messages.

Key Players

HL7 InternationalFHIR Standard

Details

This specification details the 'Action Code (2.3 - 1.0.0)' v2+ vocabulary, which is a code system defined by HL7 for indicating record operation status within Version 2 messaging. These codes are utilized in scenarios like the RXA segment of vaccine messages, where defining a method to correct vaccination information transmitted with incorrect patient identifying information is necessary. The core concepts defined include basic operations such as 'Add/Insert (A)', 'Delete (D)', and 'Update (U)'. This vocabulary is marked as experimental and is managed by HL7's terminology services. The specification highlights the importance of standardizing not just data transfer, but also the *intent* of the operation (status), which is crucial for ensuring interoperability in healthcare IT systems. For Japanese healthcare IT, where exchanging data between electronic medical records or dispensing systems is common, defining and transmitting the operational intent—whether a record is being added, updated, or deleted—is fundamental to maintaining data integrity and achieving true interoperability. This code system serves as a foundational technical reference for standardizing such operational definitions.

Technology Note

FHIR(Fast Healthcare Interoperability Resources)は医療データ交換の国際標準。このエントリの関連技術: HL7

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